A new non-endoscopic intraoral approach for open reduction and internal fixation of subcondylar fractures of the mandible

被引：1

作者：

Hakim, Samer George ^{[1
]}

Trankle, Thomas ^{[1
]}

Kimmerle, Harald ^{[1
]}

Sieg, Peter ^{[1
]}

Jacobsen, Hans-Christian ^{[1
]}

机构：

[1] Univ Med Ctr Schleswig Holstein, Dept Oral & Maxillofacial Surg, Lubeck, Germany

来源：

JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY | 2014年 / 42卷 / 07期

关键词：

Condylar fracture; Intraoral approach; Miniplate osteosynthesis; Open reduction and internal fixation; CONDYLAR FRACTURES; CLOSED TREATMENT;

D O I：

10.1016/j.jcms.2014.02.003

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

Open reduction and internal fixation (ORIF) of subcondylar fractures of the mandible is a widely accepted treatment concept aimed at reconstruction of the vertical height of the mandibular ramus and restoration of occlusion. Here, we describe new instruments designed for ORIF via an intraoral approach using a single inverted y-miniplate. The special design allows sufficient visualisation of the fracture site and enables the establishment of a standardised procedure for the treatment of both dislocated and non-dislocated fractures. Several manoeuvres are described and some clinical cases are presented. Challenges frequently met during ORIF of subcondylar fractures via the intraoral approach such as limited exposure and visual control of fracture site can be overcome using the instruments-kit presented, which help to optimise this treatment. (C) 2014 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights

引用

页码：1166 / 1170

页数：5

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